The effect of hallux valgus on the anatomy of the nerves around the first metatarsal bone.
Common plantar digital nerve
First metatarsal bone
Hallux valgus
Medial dorsal cutaneous nerve
Proper plantar digital nerve
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
16 Mar 2024
16 Mar 2024
Historique:
received:
06
06
2023
accepted:
31
01
2024
medline:
16
3
2024
pubmed:
16
3
2024
entrez:
16
3
2024
Statut:
aheadofprint
Résumé
To identify the variations in the location of the nerves that may be at risk in hallux valgus (HV) surgery, and to reveal whether these nerves are affected by the anatomical changes associated with HV. In the formalin fixed, 46 lower extremities (19 female, 27 male) (9 normal, 14 mild HV, 21 moderate/severe HV), extensor hallucis longus tendon (EHL), deep plantar artery, medial dorsal cutaneous (MDCN), deep fibular (DFN), common plantar digital (CPDN) and proper plantar digital (PPDN) nerves were examined. The branches of MDCN extending to the medial side of foot were recorded in three segments. The positional topography of nerves according to EHL were analyzed on 360° circle and clock models. Sex-related differences observed in some parameters in direct measurements were not found in the clock model comparisons. In advanced HV angles (> 20°), DFN was closer to EHL in the distal part of the metatarsal bone, while there was no difference in the proximal. The intersection of the medial branch of the MDCN with the EHL was more proximal in HV cases than in normal feet. The location of the nerves in the clock pattern did not change in HV. Of the nerve branches reaching the medial side of the foot, 65.2% were in Part I, 71.7% in Part II, and 4.3% in Part III. Sex differences in the distance of the nerves to the EHL disappeared when the size effect of the cross-section of the first metatarsal bone region was eliminated with the clock model. Only in advanced HVA (>20°) (not in mild HV), the DFN being closer to the EHL distally and the intersection of the medial branch of the MDCN with the EHL in HV being more proximal than in normal can be interpreted as specific reflections of HV progress. The variations we revealed in the number of branches reaching the inside of the foot may explain the diversity of neuromas or nerve injuries associated with HV surgery.
Identifiants
pubmed: 38492026
doi: 10.1007/s00276-024-03318-9
pii: 10.1007/s00276-024-03318-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Açıkgöz AK, Mutluay ŞD, Binokay F, Bozkır MG (2022) Evaluation of the relationship between hallux valgus and foot measurements in radiographic images of adult female. Surg Radiol Anat 44(9):1281–1288. https://doi.org/10.1007/s00276-022-03012-8
doi: 10.1007/s00276-022-03012-8
pubmed: 36076036
Canovas F, Bonnel F, Kouloumdjian P (1996) The superficial peroneal nerve at the foot. Organisation, surgical applications. Surg Radiol Anat 18(3):241–244 (PMID: 8873341)
pubmed: 8873341
Chhaya SA, Brawner M, Hobbs P, Chhaya N, Garcia G, Loredo R (2008) Understanding hallux valgus deformity: what the surgeon wants to know from the conventional radiograph. Curr Probl Diagn Radiol 37(3):127–137. https://doi.org/10.1067/j.cpradiol.2007.11.004
doi: 10.1067/j.cpradiol.2007.11.004
pubmed: 18436112
Coughlin MJ (1997) Hallux valgus in men: effect of the distal metatarsal articular angle on hallux valgus correctiong. Foot Ankle Int 18(8):463–470. https://doi.org/10.1177/107110079701800802
doi: 10.1177/107110079701800802
pubmed: 9278739
Dalmau-Pastor M, Vega J, Malagelada F, Peña F, Manzanares-Céspedes MC (2018) An anatomical study of nerves at risk during minimally invasive hallux valgus surgery. J Vis Exp 132:e56232. https://doi.org/10.3791/56232
doi: 10.3791/56232
Del Vecchio JJ, Ghioldi ME, Uzair AE, Chemes LN, Manzanares-Céspedes MC, Dealbera ED, Dalmau-Pastor M (2019) Percutaneous, intra-articular, chevron osteotomi (PeICO) for the treatment of hallux valgus: a cadaveric study. Foot Ankle Int 40(5):586–595. https://doi.org/10.1177/1071100718820696
doi: 10.1177/1071100718820696
pubmed: 30688531
Galois L (2018) History of surgical treatments for hallux valgus. Eur J Orthop Surg Traumatol 28(8):1633–1639. https://doi.org/10.1007/s00590-018-2235-6
doi: 10.1007/s00590-018-2235-6
pubmed: 29855786
Hecht PJ, Lin TJ (2014) Hallux valgus. Medical. Clinics 98(2):227–232
Herron ML, Kar S, Beard D, Binfield P (2004) Sensory dysfunction in the great toe in hallux valgus. J Bone Joint Surg Br 86(1):54–57
doi: 10.1302/0301-620X.86B1.13502
pubmed: 14765866
Hurn SE, Vicenzino B, Smith MD (2015) Functional impairments characterizing mild, moderate, and severe hallux valgus. Arthritis Care Res 67(1):80–88. https://doi.org/10.1002/acr.22380
doi: 10.1002/acr.22380
Jastifer JR, Coughlin MJ, Doty JF, Stevens FR, Hirose C, Kemp TJ (2014) Sensory nerve dysfunction and hallux valgus correction: a prospective study. Foot Ankle Int 35(8):757–763. https://doi.org/10.1177/1071100714534216
doi: 10.1177/1071100714534216
pubmed: 24807984
Kosinski C (1926) The course, mutual relations and distribution of the cutaneous nerves of the metazonal region of leg and foot. J Anat 60(3):274–297
pubmed: 17104102
pmcid: 1249886
KurtoğluOlgunus Z, Çiçek F, Koç T (2023) Positional and dimensional relation of tendons around the first metatarsal bone with hallux valgus. Surg Radiol Anat 45(2):183–192. https://doi.org/10.1007/s00276-022-03066-8
doi: 10.1007/s00276-022-03066-8
Lee HJ, Choi YJ (2023) A three-dimensional analysis of the tibialis anterior tendon: emphasizing tendon insertion patterns for effective repair and understanding hallux valgus development. Surg Radiol Anat 45(10):1197–1204. https://doi.org/10.1007/s00276-023-03192-x
doi: 10.1007/s00276-023-03192-x
pubmed: 37421479
Leemrijse T, Hoang B, Maldague P, Docquier PL, Bevernage BD (2008) A new surgical procedure for iatrogenic hallux varus: reverse transfer of the abductor hallucis tendon: a report of 7 cases. Acta Orthop Belg 74(2):227–234 (PMID:18564481)
pubmed: 18564481
Li C, Lu L, Zhang Y, Ai-Xin-Jue-Luo QC, Wang ZT, Wang JF (2019) F-shaped osteotomy combined with basal opening wedge osteotomy for severe hallux valgus. Orthop Surg 11(4):604–612. https://doi.org/10.1111/os.12505
doi: 10.1111/os.12505
pubmed: 31419060
pmcid: 6712405
Lu C, Sun X, Wang C, Wang Y, Peng J (2018) Mechanisms and treatment of painful neuromas. Rev Neurosci 29(5):557–566. https://doi.org/10.1515/revneuro-2017-0077
doi: 10.1515/revneuro-2017-0077
pubmed: 29306933
Melendez MM, Patel A, Dellon AL (2016) The diagnosis and treatment of Joplin’s neuroma. J Foot Ankle Surg 55(2):320–323. https://doi.org/10.1053/j.jfas.2014.09.045
doi: 10.1053/j.jfas.2014.09.045
pubmed: 25488599
Miller SD (2009) Nerve disorders of the hallux. Foot Ankle Int 14(1):67–75. https://doi.org/10.1016/j.fcl.2008.11.010
doi: 10.1016/j.fcl.2008.11.010
Morales-Orcajo E, Bayod J, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias M, Doblare M (2015) Influence of first proximal phalanx geometry on hallux valgus deformity: a finite element analysis. Med Biol Eng Comput 53(7):645–653. https://doi.org/10.1007/s11517-015-1260-4
doi: 10.1007/s11517-015-1260-4
pubmed: 25783761
Nayak VS, Bhat N, Nayak SS, Sumalatha S (2019) Anatomical variations in the cutaneous innervation on the dorsum of the foot. Anat Cell Biol 52(1):34–37. https://doi.org/10.5115/acb.2019.52.1.34
doi: 10.5115/acb.2019.52.1.34
pubmed: 30984449
pmcid: 6449594
Nix S, Smith M, Vicenzino B (2010) Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res 3:1–9. https://doi.org/10.1186/1757-1146-3-21
doi: 10.1186/1757-1146-3-21
Park JY, Wang C, Kim HD, Kim HN (2017) Tendon split lengthening technique for flexor hallucis longus tendon rupture. J Orthop Surg Res 12(1):165. https://doi.org/10.1186/s13018-017-0668-y
doi: 10.1186/s13018-017-0668-y
pubmed: 29110725
pmcid: 5674746
Perera AM, Mason L, Stephens MM (2011) The pathogenesis of hallux valgus. J Bone Joint Surg Am 93(17):1650–1661. https://doi.org/10.2106/JBJS.H.01630
doi: 10.2106/JBJS.H.01630
pubmed: 21915581
Solan MC, Lemon M, Bendall SP (2001) The surgical anatomy of the dorsomedial cutaneous nerve of the hallux. J Bone Joint Surg 83(2):250–252. https://doi.org/10.1302/0301-620x.83b2.11464
doi: 10.1302/0301-620x.83b2.11464
Solomon LB, Ferris L, Tedman R, Henneberg M (2001) Surgical anatomy of the sural and superficial fibular nerves with an emphasis on the approach to the lateral malleolus. J Anat 199(6):717–723. https://doi.org/10.1046/j.1469-7580.2001.19960717.x
doi: 10.1046/j.1469-7580.2001.19960717.x
pubmed: 11787825
pmcid: 1468389
Still GP, Fowler MB (1998) Joplin’s neuroma or compression neuropathy of the plantar proper digital nerve to the hallux: clinicopathologic study of three cases. J Foot Ankle Surg 37(6):524–530. https://doi.org/10.1016/s1067-2516(98)80030-6
doi: 10.1016/s1067-2516(98)80030-6
pubmed: 9879048
Thomas S, Barrington R (2003) Hallux valgus. Curr Orthop 17(4):299–307. https://doi.org/10.1016/S0268-0890(02)00184-6
doi: 10.1016/S0268-0890(02)00184-6
Xiong Y, Shen B, Hao C, Xiao K, Wang J, Fang Z (2019) Transfer of abductor hallucis tendon combined with scarf osteotomy versus single scarf osteotomy in moderate to severe hallux valgus deformity: a comparative retrospective cohort study. BMC Musculoskelet Disord 20(1):1–6. https://doi.org/10.1186/s12891-019-2860-1
doi: 10.1186/s12891-019-2860-1
Zdilla MJ, Miller KD, Swearingen JV, Lambert HW (2018) The use of ultrasonography to identify the intersection of the dorsomedial cutaneous nerve of the hallux and the extensor hallucis longus tendon: a cadaveric study. J Foot Ankle Surg 57(2):296–300. https://doi.org/10.1053/j.jfas.2017.10.007
doi: 10.1053/j.jfas.2017.10.007
pubmed: 29331290
pmcid: 7203628